Organization
MED STOP FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATTI LORRI MARAT APRN, NP-C (MEMBER/OWNER)
(478) 412-2105
Entity
Organization
Contact information
Practice address
106 W 2ND AVE, SANDERSVILLE, GA 31082-9204
(478) 412-2105
(706) 432-1620
Mailing address
106 W 2ND AVE, SANDERSVILLE, GA 31082-9204
(478) 412-2105
(706) 432-1620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003244347A
—
GA
Enumeration date
08/06/2020
Last updated
01/11/2023
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